Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.07 / $735.07 / $735.07	Professional		$735.07	$735.07	$735.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $837.78 / $1,005.33	Professional		$723.84	$837.78	$1,005.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $869.15 / $951.19 / $1,152.29	Professional		$869.15	$951.19	$1,152.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.24 / $804.26 / $938.31	Professional		$737.24	$804.26	$938.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.38 / $810.55 / $1,067.90	Professional		$615.38	$810.55	$1,067.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $796.59 / $3,900.00 / $8,000.00	Professional		$796.59	$3,900.00	$8,000.00